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本文报告212例典型的临床腔隙综合征患者,CT 扫描所见分别为未见异常(35.4%)、小灶梗塞(≤2.0cm,42.9%)、中灶梗塞(2.1—4.4cm,16.0%)、大灶梗塞(≥4.5cm,5.7%);122例 CT扫描显示单发小灶脑梗塞的病例,临床表现与 CT 所见基本符合者仅占8.2%,因此临床上做腔隙性脑梗塞的诊断应慎重。对发病后3至7天 CT 扫描只见小灶梗塞而未见本次缺血性卒中病灶的原因进行了分析,并建议暂称为“CT 扫描假阴性的脑梗塞”,以利于今后深入研究。
This article reports 212 cases of typical clinical lacunar syndrome, CT scan showed no abnormalities (35.4%), small infarction (≤ 2.0cm, 42.9%), middle infarction (2.1-4.4cm, 16.0%), (≥4.5cm, 5.7%). The CT scan of 122 patients with single cerebral infarction showed that the clinical manifestations only accounted for 8.2% of those seen by CT, so the diagnosis of lacunar infarction Should be careful. On the 3 to 7 days after the onset of CT scan showed only small infarction and did not see the reasons for the ischemic stroke lesions were analyzed and temporarily referred to as “CT-scan false-negative cerebral infarction” in order to facilitate in-depth study.